HomeMy WebLinkAboutCemex Invoice 6-24-15ZZC C.- M C.- X
03L
57724024
Plant:
Begin Loading:
To Job:
Arrive Jqb:
Start Unload:-,
Finish Unload:
Leave Job:
Return Plant:
Customer Code:
Customer Name:
31 f E76+:6
I41EL..-- xY CONSTRUCTION
Project Code:
Project Name:
Ticket Date:
Delivery Address:
t-?t� / 1 `: / i)
LI;T,: 27 HOL_ I DI�=t`I OUT
Delivery Instructions:
?'E.l•4,SEN DECICH
Customer Job Number: Order Code / Date:
�E.C:ly 0EJ / 19 / J ::4
Project P.O. Number: Order P.O. Number:
Map Page: Map/Row/Column:
Dispatcher:
Ticket Number:
33-3797435
Due On Job:
Iy � ;�
Slump:
':fa ixC?
Truck Number:
I(_YCJ�" baL:k7
Driver Number:
1.t_?at0C,
Driver Name: _
BILL ;31 Rf-UG,(_,
End Use:
e�I_D�I`�E'�4 i=t1►3T!=R
vl LOAD QUANTITY CQUANT TIYE I QUANTITY ORDERED MATERIAL CODE PRODUCTION DESCRIPTION
i t_. y ',-,(t_? t.;"a 15t.' 1 e.5.1 '.53C) 300!) � i
FEE':.
";'4'78 1 IS FJJI= I_. o sI.JFro E 1 "li
00 1202749 ENV I I�rii MIK.-.ik± i :;'. I,
UOM 17N1i PRICE : • " AMOUNT
5. tY
f
RECE11 V,
JUN 2 4 20j5
Cash Check # /Auth Code: Signature of Driver Receiving Cash: CasORO-q 'ved: Total COD Order Amount-to•Collect
Without Standby ChaPges;, • `-'
Check
Charge
Comments:
WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED. .
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
CONCRETE DJUS.ZPIDSAL FEE,
1111PI r I AL FULL. L. U-3AD YARDS
SIGNATURE
_ O LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on lob concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or a imta idn _C k I ION: Material
terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may hazardous to your safety andr7l ealthy Please refer to,the b ckside of this ticRe or important
control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to t e' mat riaIts afety data sheets for ad itional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials.
68UNIVERSAL F'PE V T RK o 1111 LOAD C:t. r l m I
INVOI
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotatii F any, and Seller's Order Confirmation (in irig limitations of warranties); as i Jully
set forth on this Delivery Ticket ("Agret_____rt"). Seller will provide the Standard Tear 1 Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were deliverL 4fas indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masomy, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested., .keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above .recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if .irritation persists.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/.12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicacion de credito); cualquier
termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmation del vendedor (con lirnitaciones y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones detal-
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con una nota al frente de este documento.
AUKEGAVUS / UE1V1ENTO / FRODUUTUS DE C ONURE`l'O / CENILAS VOLANTES
Los productos de agf(�gados son materiales naturaley como piedra caliza, dolomita, granito, coca vole pica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, coca-volednica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos, quemaduras en piel y ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritacion en los ojos, piel y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforation puede contener materiales
silicos, los cuales pueden causar si.licosi.s pulmonar y cancer si son .inhalados. En caso de ser ingeridos, mantenerse
en temperatura cllida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad: La humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al .medico. El riesgo en la salud depende en
la duration y el n.ivel de la exposition.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa
Primeros adecuada para proteccion. Lavese ]as rnanos con jabon suave y agua despues del manejo de materiales. Evite .inhalar
auxilios• polvos. Si se expone a polvos mas de .los limites recomendados, use proteccion respirato.ria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavel.os a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continda.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combbiado Houston, Texas 77024
02/12 Para mas information visita www.cemexusa.com.
031114
�cmcx'
`57724024i.
Plant:,
Begin Loading:
To Job:
Arrive fob:
Start Unload-, -
--- --------- --
Finish Unload:
- -
Leave Job:
Return Plant:
Customer Code:
Customer Name:
Customer Job Number:
Order Code / Date:
r11 10 illl
'Project Code:
Project Name:
Project P.O. Number:
Order P.O. Number:
Ticket Date:
Delivery Address:
Map Page: Map/Row/Column:
Delivery Instructions:
Dispatcher:
Ticket Number:
"Pz
Due On Job:
Slump:
Truck Number:
Driver Number:
Driver Name:
End Use:
I
J,
LOAD
QUANTITY
CUMULATIVE
QUANTITY
ORDERED
QUANTITY
MATERIAL CODE
PRODUCTION DESCRIPTION
UOM
UNIT PRICE
AMOUNT
-J�
9 51 JU
Cash Check # Auth Code: Signature of Driver Receiving Cash: Cash Plei k Total COD Order Amount to Collect
Check Without Standby Charges:
Charge
Comments,
WATER ADDED* -,r--'AL YARDS IN. DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
SIGNATURE
LI LOAD WAS TESTED BY:
Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on`j`ob, concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or re —ii6li-n' CAt TION: Material
terms of sale and deliveryand accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health Pleaserefer to the b ckside of this —ticket for important
safety handling information, and to the,rn ) d
control after delivery, this Company will not accept any responsibility for the finished results. No credit for ateria)1satqty data sheets f itional infiormation.1K
returned concrete. Buyers exceptions, and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. 68UNIVERSAL CUSTOMER-----",,__._/ NUN: I
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's QuotaticcMV any, and Seller's Order Confirmation (m(,fc ling limitations of warrantie4),, as`if;fully
set forth on this Delivery Ticket ("AgredW— , t"). Seller will provide the Standard TennS N Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and
other siliceous materials. These products, including fly ash, may contgl, j more than 0.025%v crystalline silica.
Hazards: Freshly mixed wet cement and/or fly ash can cauk eye .irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause imitation to eyes, skin, and/or. respiratory tract. Dust from. handling,
crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled.
If ingested, keep warm, at rest, and drink, large amounts of water. Fly Ash may contain trace amounts of amm.o-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
Safety: Avoid contact with eyes and prolongedcontact with skin. Wear gloves, eye protection, and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
r
First Aid: In case of eye contact, immediately flush eyes with flowing water for .15 minutes. If dust is inhaled, move to fresh
air. If wet cement contacts skin., rinse thoroughly with water. Get proper medical attention if irritation persists.
J CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combined Houston, Texas 77024
02/12 For more information please visit www.cemexusa.coni.
lrste ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su apl.icacOn',de credito); cualquier
tanhino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirm.acion del vendedor (con limitations y
garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terrninos estandares y condiciones detal=
lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con una nota al frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturaley como piedra caliza, dolom.ita, gran.ito, roca voledhica, arena, grava y otros
materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio cristalino.
Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritacion en los Ojos, quemaduras en piel y ojos, y
reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar .irritacion en los Ojos, piel. y/o en
la zona respiratoria. Polvo del manejo en el trituramiento, pulido, torte y/o perforation puede contener materiales
silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse
en temperate a edlida, reposar y tomar grander cantidades de agua. Las cenizas volantes pueden contener amoniaco.
Seguridad• . La humedad puede causar la liberation del amoniaco. La inhalation del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta ypulmones. Acudir inmediatamente al. medico. El riesgo en la salud depende en
la duraci6D y el nivel de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa
Primeros adecuada para proteccion. Lavese las manos con jabon suave y agua despues del manejo de materiales. Evite inhalar
auxilios' polvos. Si se expone a polvos mas de los limi.tes recomendados, use proteccion respiratoria.
Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, expongase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con
agua. Acuda a atencion medica inmediatamente si la irritacion continua.
CEMEX, Memorial Hermann Tower
929 Gessner, Suite 1900
V7 combinado Houston, Texas 77024
02/12 Para mas information visita www.cemexusa.coni.